KAITLIN E FRY FNP-C
NPI 1417729377
Nurse Practitioner - Family in Hobart, IN

Active since October 24, 2023PECOS EnrolledAccepts Medicare Assignment
1500 S LAKE PARK AVE STE 204, HOBART, IN 46342(219) 947-6695(219) 947-6092 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 31, 2023, Oct 24, 2023 (2 updates tracked since 2023).

About Kaitlin E Fry Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLIN E FRY FNP-C (NPI 1417729377) is an individual family provider in Hobart, Indiana, licensed in Indiana (71014465A) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and maintains a secondary practice location in Valparaiso.

NPPES Registry Identity

NPI1417729377
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLIN E FRYCredential: FNP-C
Location Address1500 S LAKE PARK AVE STE 204Hobart, IN 46342-6638
Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084 · Fax (219) 703-6854
Fax(219) 947-6092
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 24, 2023
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1417729377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71014465A
1500 S LAKE PARK AVE STE 204, Hobart, IN 46342

Secondary Practice Location 1

Location 13800 Saint Mary Rd Ste 303Valparaiso, IN 46383-3986 · Phone (219) 947-6695 · Fax (219) 947-6092

Other Identifiers 2

Medicaid300084489IN
Other1104121608IN · Anthem

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaitlin E Fry Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587016951
PECOS Enrollment IDI20240122002044
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kaitlin Fry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
9660 WICKER AVE
St John, IN 46373
  • Reassigned Medicare billing, Indiana enrollment
  • 607 clinicians in this Medicare group
Interventional Pain Medicine
701 SUPERIOR AVE STE B
Munster, IN 46321
  • Reassigned Medicare billing, Indiana enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services43 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150090
Location24 Joliet StDyer, IN 46311 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlin Fry's NPI number?

The NPI number for Kaitlin Fry is 1417729377. It was assigned to this individual provider in the NPPES registry on October 24, 2023.

Where is Kaitlin Fry located?

Kaitlin Fry practices at 1500 S Lake Park Ave Ste 204, Hobart, IN 46342. The listed phone number is (219) 947-6695.

What is Kaitlin Fry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kaitlin Fry enrolled in Medicare?

Yes. Kaitlin Fry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kaitlin Fry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Fry reassigns Medicare benefits to 2 organizations: Community Care Network Inc (St John, IN) and Interventional Spine And Joint Specialists, LLC (Munster, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlin Fry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlin Fry accept?

Health plans from Anthem Blue Cross and Blue Shield list Kaitlin Fry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kaitlin Fry affiliated with any hospitals?

According to CMS data, Kaitlin Fry is affiliated with St Mary Medical Center Inc, Franciscan Health Dyer, Community Hospital and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Kaitlin Fry was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.